ATI RN Maternity Proctored Exam 2021.

ATI RN Maternity Proctored Exam 2021. A nurse is collecting data from a client who is 12 hr postpartum following a spontaneous vaginal delivery. The nurse should expect to find the uterine fundus at which of the following positions on the client’s abdomen? At the level of the umbilicus Within 12 hr, the fundus should rise to the level of the umbilicus and then recede 1 to 2 cm each day. A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take? Perform fundal massage The nurse notes that the fundus is midline and firm; therefore, fundal massage is not indicated at this time. A nurse is preparing to palpate the uterine fundus of a client who is at 22 weeks of gestation to measure fundal height. At which of the following locations should the nurse expect to find the fundus? At the umbilicus At 22 weeks of gestation, the fundal height should be around the level of the umbilicus. The distance in centimeters from the symphysis pubis to the top of the fundus is a rough estimate of gestational age. A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate? "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." Urinary frequency usually disappears at about 12 weeks of gestation but returns near term as the enlarging uterus presses on the bladder. It can also worsen following fetal descent. A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse? “Implantation occurs between two and three weeks after conception.” ANSWER This statement requires clarification because implantation follows conception within 6 to 10 days. A nurse is preparing to auscultate fetal heart tones for a client who is pregnant. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundal portion of the uterus and a long, smooth surface on the mother’s right side. In which of the following maternal quadrants should the nurse auscultate fetal heart tones? Right upper quadrant Fetal heart tones are best auscultated directly over the location of the fetal back, which, in this breech presentation, is in the right upper quadrant. A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take? Apply vibroacoustic stimulation to the woman's abdomen. This technique is sometimes used with a nonstress test to stimulate a fetal response. A sound source, typically a laryngeal stimulator, is applied to the client's abdomen over the fetal head for 3 seconds. A nurse is reinforcing teaching with a client at her first prenatal visit about expected changes during gestation. (Move the steps into the box on the right, placing them in the selected order of occurrence from earliest to latest in gestation. Use all the steps.) Breast tenderness Nausea and vomiting Goodell’s sign Quickening Striaegravidarum A nurse in a prenatal clinic is determining a client’s estimated date of delivery using Naegele’s rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery? February 11 Using Naegele’s rule to calculate the client’s estimated date of delivery, the nurse should subtract 3 calendar months and add 7 days to the client’s first day of her last menstrual period. The nurse should calculate February 11th as the estimated date of delivery for this client. A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include? "Given too soon, epidural anesthesia can prolong labor.